CN112137662B - Pneumoperitoneum machine - Google Patents
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- CN112137662B CN112137662B CN201910588337.1A CN201910588337A CN112137662B CN 112137662 B CN112137662 B CN 112137662B CN 201910588337 A CN201910588337 A CN 201910588337A CN 112137662 B CN112137662 B CN 112137662B
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- 208000005646 Pneumoperitoneum Diseases 0.000 title claims abstract description 94
- 238000001356 surgical procedure Methods 0.000 claims description 26
- 208000008589 Obesity Diseases 0.000 claims description 8
- 235000020824 obesity Nutrition 0.000 claims description 8
- 230000004044 response Effects 0.000 claims description 4
- 210000000683 abdominal cavity Anatomy 0.000 description 13
- 238000012084 abdominal surgery Methods 0.000 description 8
- 238000002357 laparoscopic surgery Methods 0.000 description 6
- 238000000034 method Methods 0.000 description 6
- 238000010586 diagram Methods 0.000 description 5
- 230000008569 process Effects 0.000 description 4
- 238000002324 minimally invasive surgery Methods 0.000 description 3
- 230000008439 repair process Effects 0.000 description 3
- 206010019909 Hernia Diseases 0.000 description 2
- 208000026292 Cystic Kidney disease Diseases 0.000 description 1
- 206010013849 Duodenal ulcer perforation Diseases 0.000 description 1
- 206010038423 Renal cyst Diseases 0.000 description 1
- 208000007107 Stomach Ulcer Diseases 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
- 210000003815 abdominal wall Anatomy 0.000 description 1
- 238000007486 appendectomy Methods 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000012321 colectomy Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 201000003511 ectopic pregnancy Diseases 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 201000005917 gastric ulcer Diseases 0.000 description 1
- 238000009802 hysterectomy Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 208000025661 ovarian cyst Diseases 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000010911 splenectomy Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
- A61B17/0218—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B17/3478—Endoscopic needles, e.g. for infusion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
- A61B2017/00544—Surgical instruments, devices or methods pneumatically or hydraulically operated pneumatically
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
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Abstract
本申请提供的一种气腹机，包括多种工作模式。所述气腹机包括存储器，所述存储器存储了所述多种工作模式中每种工作模式对应的默认参数值，当所述气腹机在其中一种工作模式下工作时，所述气腹机将按照该工作模式对应的默认参数值进行工作。另外，本申请还提供一种气腹机，其工作模式包括自定义模式。本申请的气腹机具有多种工作模式，而且，还可以自定义工作模式，带来更好的用户体验。
The present application provides a pneumoperitoneum machine, including multiple working modes. The pneumoperitoneum machine includes a memory, and the memory stores the default parameter values corresponding to each of the multiple working modes. When the pneumoperitoneum machine works in one of the working modes, the pneumoperitoneum machine will work according to the default parameter values corresponding to the working mode. In addition, the present application also provides a pneumoperitoneum machine, whose working mode includes a custom mode. The pneumoperitoneum machine of the present application has multiple working modes, and the working mode can also be customized to bring a better user experience.
Description
Technical Field
The application relates to the field of minimally invasive surgery, in particular to a multi-mode pneumoperitoneum machine.
Background
In recent years, minimally invasive surgery with the advantages of small trauma, quick recovery and high cure rate has been developed rapidly, and laparoscopic surgery is widely used as a representative of minimally invasive surgery in the surgical field, and is popular with patients in relation to a plurality of diseases and operations. And with the continuous progress of science and technology, the development space of the laparoscope is increased more and more due to the innovation of surgical instruments.
The laparoscopic surgery has a complex scene and is more and more widely related to the clinical field in recent years, and the laparoscopic surgery not only comprises appendectomy, gastric ulcer, duodenal ulcer perforation repair, hernia repair, colectomy and splenectomy, but also has developed operations such as ovarian cyst removal, ectopic pregnancy, hysterectomy and the like. Different operations, different human bodies and great differences. For example, the abdominal cavity volume of the obese person is larger than that of the common person, the fat layer is thicker, and the volume resistance is larger, so that when the laparoscopic surgery of the obese person is performed, the pneumoperitoneum needs to be established at a larger flow rate and a larger pressure, the abdominal cavity volume of the children is smaller than that of the common person, the cortex is thinner, the volume resistance is smaller, and at the moment, the pneumoperitoneum needs to be established at a smaller flow rate and a smaller pressure. Therefore, the laparoscope has a complex clinical scene, so that the clinical adjustment is complicated, and the user experience is reduced.
Disclosure of Invention
The embodiment of the application discloses a multi-mode pneumoperitoneum machine, which aims to solve the problems.
The pneumoperitoneum machine disclosed by the embodiment of the application comprises a plurality of working modes, wherein the pneumoperitoneum machine comprises a memory and a processor, the memory stores default parameter values corresponding to each working mode in the plurality of working modes, and when the pneumoperitoneum machine works in one working mode, the processor reads the default parameter values corresponding to the working mode from the memory and controls the pneumoperitoneum machine to work according to the default parameter values corresponding to the working mode.
The working mode of the pneumoperitoneum machine at least comprises a custom mode, the pneumoperitoneum machine comprises a processor and an input device, and after the processor controls the pneumoperitoneum machine to enter the custom mode, the processor defines custom parameter values of clinical requirements of various operations according to input operation of a user on the input device.
The pneumoperitoneum machine provided by the application has a plurality of working modes, each working mode has a corresponding default parameter value, and when the pneumoperitoneum machine works in one of the working modes, the pneumoperitoneum machine works according to the default parameter value corresponding to the working mode, so that the complexity of clinical adjustment is reduced. In addition, the pneumoperitoneum machine disclosed by the application also comprises a self-defining mode, so that the self-defining parameter values of clinical requirements of various operations can be self-defined, and great convenience is brought to subdivision of the clinical working mode.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present application, the drawings that are needed in the embodiments will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present application, and other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
Fig. 1 is a schematic block diagram of a pneumoperitoneum apparatus according to an embodiment of the present application.
Fig. 2 is a schematic block diagram of a pneumoperitoneum apparatus in another embodiment of the present application.
Fig. 3 is a schematic diagram of a user interface of the pneumoperitoneum apparatus in a custom mode according to another embodiment of the present application.
Detailed Description
The following description of the embodiments of the present application will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present application, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the application without making any inventive effort, are intended to be within the scope of the application.
The terms first, second and the like in the description and in the claims and in the drawings are used for distinguishing between different objects and not for describing a particular sequential order. Furthermore, the term "include" and any variations thereof is intended to cover a non-exclusive inclusion. For example, a process, method, system, article, or apparatus that comprises a list of steps or elements is not limited to only those listed steps or elements but may include other steps or elements not listed or inherent to such process, method, article, or apparatus.
The description is then made of a preferred embodiment for carrying out the application, which is for the purpose of illustrating the general principles of the application and is not meant to limit the scope of the application. The scope of the application is defined by the appended claims.
Referring to fig. 1, fig. 1 is a schematic block diagram of a pneumoperitoneum apparatus 100 according to an embodiment of the present application. The pneumoperitoneum machine 100 is used for establishing pneumoperitoneum to increase the pressure of the abdominal cavity and move the diaphragm upwards during laparoscopic surgery, thereby providing good vision and enough operation space for the surgery and ensuring that the surgery can be smoothly performed. The pneumoperitoneum machine 100 includes a plurality of modes of operation. The pneumoperitoneum machine 100 includes a memory 10 and a processor 20. The memory 10 stores default parameter values corresponding to each of the plurality of operation modes. When the pneumoperitoneum apparatus 100 operates in one of the operation modes, the processor 20 reads the default parameter value corresponding to the operation mode from the memory 10, and controls the pneumoperitoneum apparatus 100 to operate according to the default parameter value corresponding to the operation mode.
Therefore, in actual clinical operation, when working in a certain working mode, only the working mode is needed to be selected, the working can be performed in the working mode according to the default parameter value corresponding to the working mode, and the tedious caused by repeated parameter setting in the clinical operation and the operation risk caused by error setting are avoided.
Specifically, in one embodiment, the plurality of operation modes includes at least a retroperitoneal mode. The retroabdominal mode refers to a mode in which a retroabdominal operation is performed on the retroabdominal cavity of a human body, and the retroabdominal operation may be, but is not limited to, adrenalectomy, extraperitoneal hernia repair, renal cyst topping-off, and the like. It will be appreciated that in practical applications, the mode of operation of the retroabdominal surgery, whether or not designated as "retroabdominal mode", falls within the scope of protection of the retroabdominal mode of the present application.
Because the human body rear abdominal cavity is smaller in natural cavity and thinner in abdominal wall compared with the human body front abdominal cavity, but the tension is larger, smaller flow is needed to match larger pressure when the pneumoperitoneum is established by the rear abdominal cavity operation. In the present application, the memory 10 stores default parameter values of clinical requirements during the post-abdominal operation in the post-abdominal mode, where the default parameter values of clinical requirements during the post-abdominal operation include at least a default pressure parameter value, a default gas flow parameter value, a default pressure safety limit, and a default gas flow safety limit. Specifically, in one embodiment, among the default parameter values of the clinical requirement of the retroabdominal surgery, the default pressure parameter value is 13mmHg, the default gas flow parameter value is 10L/min, the default pressure safety limit is 15mmHg, and the default gas flow safety limit is 12L/min. It may be appreciated that in other embodiments, among the default parameter values of the clinical requirement of the post-abdominal surgery, the range of the default pressure parameter value is 11mmhg to 15mmhg, the range of the default gas flow parameter value is 5L/min to 15L/min, the default pressure safety limit is 13mmhg to 17mmhg, and the default gas flow safety limit is 7L/min to 17L/min.
Further, in one embodiment, the default parameter values of the post-abdominal surgery clinical requirement further comprise a default pressure threshold and a default gas flow threshold. Specifically, in one embodiment, the default pressure threshold is 30mmHg, and the default gas flow threshold is 15L/min.
In the prior art, a specific mode is not set for the retroabdominal operation, fine adjustment is required according to the existing mode, the adjustment process is complicated, and the parameter value cannot be memorized. The pneumoperitoneum machine 100 has a retroperitoneal mode, the memory 10 stores default parameter values of clinical requirements when performing a retroperitoneal operation in the retroperitoneal mode, the processor 20 controls the pneumoperitoneum machine 100 to work according to the default parameter values of the clinical requirements in the retroperitoneal mode, the retroperitoneal mode can be quickly selected, parameters do not need to be adjusted in a large range, the tedious adjustment process is omitted, the parameter values can be memorized, and great convenience is brought to actual clinic.
Specifically, in one embodiment, the operation mode of the pneumoperitoneum machine 100 further includes an adult mode. The memory 10 also stores default parameter values for clinical needs when performing post-abdominal surgery in adult mode. When the pneumoperitoneum machine 100 enters the adult mode, the processor 20 controls the pneumoperitoneum machine 100 to operate according to the default parameter values of clinical requirements in the adult mode.
Specifically, in one embodiment, the operation mode of the pneumoperitoneum machine 100 further includes an obesity mode. The memory 10 also stores default parameter values for clinical needs when performing post-abdominal surgery in obese mode. When the pneumoperitoneum machine 100 enters the obesity mode, the processor 20 controls the pneumoperitoneum machine 100 to work according to the default parameter value of clinical requirement in the obesity mode. It will be appreciated that obese persons have a somewhat larger abdominal volume than normal persons, and a thicker fat layer and a greater resistance, and therefore a greater gas flow and greater pressure is required to establish a pneumoperitoneum when performing laparoscopic surgery on obese patients.
Specifically, in one embodiment, the operation mode of the pneumoperitoneum apparatus 100 further includes a pediatric mode. The memory 10 also stores default parameter values for clinical needs when performing post-abdominal surgery in pediatric mode. When the pneumoperitoneum machine 100 enters the pediatric mode, the processor 20 controls the pneumoperitoneum machine 100 to operate according to the default parameter values of clinical requirements in the pediatric mode. It will be appreciated that the volume of the infant's abdominal cavity is much smaller than that of an average person, and that the skin is thinner and the resistance is smaller, requiring less flow and pressure to establish a pneumoperitoneum.
Therefore, the application refines inflation parameters and pressure control according to various requirements of the postoperative abdominal surgery, inflation is more stable, and pressure fluctuation is small.
Therefore, the pneumoperitoneum machine 100 is a multi-mode pneumoperitoneum machine, pre-stores default parameter values under various common working situations, refines inflation parameters under various working situations, ensures inflation robustness, is used for reference when similar clinical operations are performed next time, and avoids the complexity of numerical adjustment for each clinical operation.
Referring to fig. 2, fig. 2 is a schematic block diagram of a pneumoperitoneum apparatus 100a according to another embodiment of the present application. Unlike the pneumoperitoneum apparatus 100 described above, the operation mode of the pneumoperitoneum apparatus 100a in the present embodiment includes at least a custom mode. The pneumoperitoneum machine 100a includes a processor 20a and an input device 30. After the processor 20a controls the pneumoperitoneum machine 100a to enter a custom mode. The processor 20a defines custom parameter values for each surgical clinical need based on user input operations on the input device 30. The self-defined parameter value at least comprises a self-defined pressure initial value, a self-defined gas flow initial value, a self-defined pressure safety limit value and a self-defined gas flow safety limit value. Further, in one embodiment, the custom parameter values further include a custom pressure threshold and a custom gas flow threshold.
Specifically, in one embodiment, the pneumoperitoneum apparatus 100a further includes a display unit 40, and the processor 20a controls the display unit 40 to display a user interface UI and displays the custom pressure initial value, the custom gas flow initial value, the custom pressure safety limit, the custom gas flow safety limit, the custom pressure threshold, and the corresponding input fields of the custom gas flow threshold on the user interface UI, so that the user can input the custom pressure initial value, the custom gas flow initial value, the custom pressure safety limit, and the custom gas flow safety limit in the corresponding input fields.
For example, referring to FIG. 3 together, the UI in FIG. 3 shows the initial pressure value, the safety pressure limit, the pressure threshold, the initial gas flow value, the safety gas flow limit, and the gas flow threshold in the custom mode, and the input values of the columns corresponding to the initial pressure value, the safety pressure limit, the pressure threshold, the initial gas flow value, the safety gas flow limit, and the gas flow threshold are respectively 10mmHg, 15mmHg, 30mmHg, 18L/min, 25L/min, and 30L/min.
Further, in one embodiment, the pneumoperitoneum machine 100a further includes a memory 10a, and the user interface UI further includes a save key 41. The processor 20a controls the custom parameter value in the custom mode to be stored in the memory 10 and to be exited in response to a user's pressing operation of the save key 41. When similar operations are performed again later, the user-defined mode can be directly selected under the mode selection menu, setting parameters are called, and repeated setting is not needed.
The self-defined parameter values such as the pressure initial value, the pressure safety limit value, the pressure threshold value, the gas flow initial value, the gas flow safety limit value and the gas flow threshold value in the self-defined mode are input by users such as medical staff according to experience, so that the self-defined parameter values more meet the actual requirements, and the types of parameter values needing temporary setting can be further reduced.
Further, in one embodiment, the user interface UI further includes a resume default key 42. The processor a controls the pneumoperitoneum machine 100 to restore to the factory default parameter value in response to the user's pressing operation of the restore default key 42. Thus, when the user needs to change back to the original default value, the "restore default" key may be pressed to restore to the factory default parameter value.
Further, in one embodiment, the operation mode of the pneumoperitoneum machine 100a further includes an adult mode. The memory 10a stores default parameter values for clinical needs of adult surgery. It is understood that the above-described "adult surgery" includes surgery via the anterior abdominal cavity and surgery via the posterior abdominal cavity.
Further, in one embodiment, the operation mode of the pneumoperitoneum machine 100a further includes an obesity mode, and the memory 10 stores default parameter values of clinical requirements of adult surgery for body type obesity. It is understood that the above-described "adult surgery" includes surgery via the anterior abdominal cavity and surgery via the posterior abdominal cavity.
Further, in one embodiment, the operation mode of the pneumoperitoneum apparatus 100a further includes a pediatric mode, and the memory 10a stores default parameter values of clinical requirements of pediatric operations. It is to be understood that the above-described "pediatric surgery" includes surgery via the anterior abdominal cavity and surgery via the posterior abdominal cavity.
Further, in one embodiment, the operation mode of the pneumoperitoneum apparatus 100a further includes a post-abdominal mode, and the memory 10a stores default parameter values of clinical requirements during the post-abdominal operation performed in the post-abdominal mode, where the default parameter values of clinical requirements during the post-abdominal operation include at least a default pressure parameter value, a default gas flow parameter value, a default pressure safety limit value, and a default gas flow safety limit value.
Further, in one embodiment, specifically, in one embodiment, among the default parameter values of the clinical requirement of the retroabdominal surgery, the default pressure parameter value is 13mmHg, the default gas flow parameter value is 10L/min, the default pressure safety limit is 15mmHg, and the default gas flow safety limit is 12L/min. It may be appreciated that in other embodiments, among the default parameter values of the clinical requirement of the post-abdominal surgery, the range of the default pressure parameter value is 11mmhg to 15mmhg, the range of the default gas flow parameter value is 5L/min to 15L/min, the default pressure safety limit is 13mmhg to 17mmhg, and the default gas flow safety limit is 7L/min to 17L/min.
Further, in one embodiment, the default parameter values of the post-abdominal surgery clinical requirement further comprise a default pressure threshold and a default gas flow threshold. Specifically, in one embodiment, the default pressure threshold is 30mmHg, and the default gas flow threshold is 15L/min.
Therefore, the pneumoperitoneum machine provided by the application has a custom mode, and default parameter values required in various working scenes can be defined in the custom mode, so that great convenience is brought to actual clinical work.
In the embodiments, the descriptions of the embodiments are focused on, and for the part of one embodiment that is not described in detail, reference may be made to the related descriptions of other embodiments.
While the embodiments of the present application have been described in detail and with reference to specific examples thereof, the principles and embodiments of the present application are described herein by way of illustration only and are not to be construed as limiting the application to any particular extent and range of application, as would be apparent to one of ordinary skill in the art in light of the present teachings.
Claims (15)
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| CN201910588337.1A CN112137662B (en) | 2019-06-28 | 2019-06-28 | Pneumoperitoneum machine |
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| CN201910588337.1A CN112137662B (en) | 2019-06-28 | 2019-06-28 | Pneumoperitoneum machine |
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| CN112137662B true CN112137662B (en) | 2024-11-29 |
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| CN113662599A (en) * | 2021-08-03 | 2021-11-19 | 武汉博视曼医疗科技有限公司 | Anesthesia machine and pneumoperitoneum machine linkage adjusting method and device and electronic equipment |
| CN113693741B (en) * | 2021-09-10 | 2022-06-14 | 四川大学华西医院 | Controllable system and method for gas perfusion |
| CN114601510A (en) * | 2022-03-04 | 2022-06-10 | 江苏人先医疗科技有限公司 | Gas control method for carbon dioxide pneumoperitoneum machine and carbon dioxide pneumoperitoneum machine |
| CN114533224B (en) * | 2022-03-25 | 2025-04-04 | 深圳市创谷科技发展有限公司 | Insufflator operation control device and insufflator |
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| JP2019136127A (en) * | 2018-02-06 | 2019-08-22 | オリンパス株式会社 | Pneumoperitoneum device |
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| JP4218404B2 (en) * | 2003-04-22 | 2009-02-04 | パナソニック電工株式会社 | Massage machine |
| JP4652771B2 (en) * | 2004-11-02 | 2011-03-16 | オリンパス株式会社 | Air supply device |
| EP2181726B1 (en) * | 2008-10-31 | 2017-04-19 | ResMed Ltd. | Systems for guiding transitions between therapy modes in connection with treatment and/or diagnosis of sleep-disordered breathing |
| US20120304995A1 (en) * | 2011-05-31 | 2012-12-06 | Nellcor Puritan Bennett Llc | Previous Set Up Mode Parameter Retention |
| CN105431093B (en) * | 2013-08-06 | 2019-03-29 | 奥林巴斯株式会社 | Pneumoperitoneum device |
| CN105534634A (en) * | 2014-10-27 | 2016-05-04 | 深圳市伦琴科技有限公司 | Child and adult double-mode thermal therapy, light therapy and magnetic therapy skin physiotherapeutic instrument |
| RU2578185C1 (en) * | 2015-04-16 | 2016-03-20 | федеральное государственное автономное образовательное учреждение высшего образования "Российский университет дружбы народов" (РУДН) | Method of creating access when performing retroperitoneoscopic operation on retroperitoneal organs |
| CN109363736A (en) * | 2018-09-10 | 2019-02-22 | 安徽省胸科医院 | Configure the integrated cavity mirror system of central control module |
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| JP2019136127A (en) * | 2018-02-06 | 2019-08-22 | オリンパス株式会社 | Pneumoperitoneum device |
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